MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
STUDENT SPECIFIC ELECTIVE COURSE DESCRIPTION

STUDENT NAME:

COURSE DIRECTOR:

ADDRESS:

PHONE NUMBER:

DATES OF ROTATION:

TO

PATIENT LOAD (#): 

CALL (HOW MANY NIGHTS/WEEK):

DESCRIPTION:

OBJECTIVES: (At least (4) objectives MUST be listed):

1)

 

5)

2) 6)
3) 7)
4)   8)

INSTRUCTIONAL METHODOLOGY (approximate # of hours per week):
Lectures   Rounds/Discussions    Patient Contact    Lab  
             


Signature of Course Director

 


Date
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Approved By:
Associate Dean for Students

 


Date

(Fax signed and completed form to Pam Troneck: 792-4262)